INSTITUTE OF BEHAVIORAL SCIENCES AND TECHNOLOGY FAMILY COUNSELING (NPI# 1790390359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790390359 |
Entity Type | Organization |
Organization Name | INSTITUTE OF BEHAVIORAL SCIENCES AND TECHNOLOGY FAMILY COUNSELING |
Practice Address |
9655 Granite Ridge Dr Ste Ofc2005 San Diego CA 92123-2674 |
Practice Telephone | 6193878272 |
Practice Fax Number | 6194605372 |
Mailing Telephone | 6193878272 |
Mailing Fax Number | 6194605372 |
Enumeration Date | 2020-09-10 |
Last Update Date | 2020-09-28 |
Authorized Official Name | PHILLIP E SALAS (PRESIDENT / CEO) |
Authorized Official Telephone | 6193878272 |
Authorized Official Credential | LMFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
9655 GRANITE RIDGE DR STE OFC2005 |
City | SAN DIEGO |
State | CA |
Zip Code | 92123-2674 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
Find all providers in zip 92123 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730710567 | Inspired Psychology Inc | Clinic/Center | 2727 Camino Del Rio S Ste 340, San Diego, CA 92108-3741 | 2020-01-30 |
1164065033 | Preeti Presswala-shah, Marriage and Family Therapist, Inc | Clinic/Center | 6540 Lusk Blvd Ste C138a, San Diego, CA 92121-2767 | 2019-10-23 |
1932764164 | Whole Person-psychotherapy Inc. | Clinic/Center | 5230 Carroll Canyon Rd Ste 100, San Diego, CA 92121-1779 | 2019-05-02 |
1972065241 | Rogers Behavioral Health California, Inc | Clinic/Center | 17140 Bernardo Center Dr Ste 300, San Diego, CA 92128-2000 | 2019-04-04 |
1164915401 | New Alternatives Inc. | Clinic/Center | 8755 Aero Dr Ste 306&320, San Diego, CA 92123-1776 | 2018-06-12 |
1396240339 | A Mindful Healing Counseling Center | Clinic/Center | 2307 Fenton Pkwy # 107-239, San Diego, CA 92108-4746 | 2018-03-29 |
1386159374 | Learning To Be Human | Clinic/Center | 835 5th Ave Ste 407, San Diego, CA 92101-6137 | 2017-12-12 |
1194186544 | Telecare Corporation | Clinic/Center | 1660 Hotel Circle North, Suite 101, San Diego, CA 92108-2803 | 2016-03-14 |
1164671749 | Family Health Centers of San Diego, Inc. | Clinic/Center | 2130 National Ave, San Diego, CA 92113-2209 | 2008-09-18 |
1710069281 | Lds Family Services | Clinic/Center | 5675 Ruffin Road, Suite 325, San Diego, CA 92123-1391 | 2006-10-20 |
Find all providers in SAN DIEGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.